MR. RAFAEL HERNANDEZ JR. (NPI# 1417407958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417407958 |
| Entity Type | Individual |
| Full Name | MR. RAFAEL HERNANDEZ JR. |
| Practice Address |
10570 S Us Highway 1 Suite 102 Port Saint Lucie FL 34952-5606 |
| Practice Telephone | 7728286992 |
| Mailing Telephone | 7728286992 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
ME83014 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417479205 | Rafael Guadalupe Hernandez | Non-emergency Medical Transport (VAN) | 1358 Dynes St, Merced, CA 95348-8410 | 2017-07-13 |
| 1740579655 | Rafael Hernandez | Social Worker | 758 Jose B Acevedo St., Los Maestros, San Juan, PR 00923 | 2011-03-31 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| 1720171317 | Rafael N Hernandez | Physician Assistant | 450 Sw 8th Street, Miami, FL 33130-2814 | 2006-10-02 |
| 1396848339 | Rafael A Hernandez | Dentist | Ave Font Martelo #53, 104, Humacao, PR 00791 | 2006-09-06 |
| 1841309416 | Rafael E Hernandez | Physical Therapist | 999 Nightingale Ave, Miami Springs, FL 33166-3826 | 2006-08-29 |
| 1851319636 | Rafael Lacomba Hernandez | General Practice | 709 Calle Miramar, Suite #6, Santurce, PR 00907-4109 | 2006-07-18 |
| 1982667812 | Rafael O. Hernandez | Family Medicine | 120 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2006-04-11 |
| 1548881980 | Rafael Hernandez Jr. | Case Manager/Care Coordinator | 1 Arch Pl Ste 1, Greenfield, MA 01301-2457 | 2020-04-27 |
| 1346879061 | Rafael J Hernandez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-04-04 |
| Street Address |
10570 S US HIGHWAY 1 SUITE 102 |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34952-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538264783 | Donna K Desanto | Social Worker | 10570 S Us Highway 1, Suite 200, Port Saint Lucie, FL 34952-5606 | 2006-09-13 |
| 1144770686 | The Palms Wellness Center | Family Medicine | 10570 S Us Highway 1, Suite 102, Port Saint Lucie, FL 34952-5606 | 2016-10-07 |
| 1821127390 | Miriam A Orieta | Social Worker | 10570 S Us Highway 1, Suite 200, Port Saint Lucie, FL 34952-5606 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780247064 | Pinnacle Rehabilitation Group | Family Medicine | 1680 Se Lyngate Dr Ste 204, Port Saint Lucie, FL 34952-4300 | 2019-04-22 |
| 1144770686 | The Palms Wellness Center | Family Medicine | 10570 S Us Highway 1, Suite 102, Port Saint Lucie, FL 34952-5606 | 2016-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895095 | Bdmj Holdings | Family Medicine | 2150 Lake Ida Rd Ste 2, Delray Beach, FL 33445-2443 | 2020-06-11 |
| 1932730942 | Freeport Medical Associates | Family Medicine | 17256 Main St N Ste 1, Blountstown, FL 32424-1775 | 2020-01-29 |
| 1649822867 | Medical Partners of The Palm Beaches | Family Medicine | 2600 Quantum Blvd Bldg A, Boynton Beach, FL 33426-8627 | 2019-07-09 |
| 1518441252 | Solstice Health and Wellness, LLC | Family Medicine | 1219 S East Ave South, Suite C204, Sarasota, FL 34239-2340 | 2018-09-19 |
| 1063956761 | Inspirations Recovery Center, LLC | Family Medicine | 5208 10th Ave N, Greenacres, FL 33463-2053 | 2016-12-14 |
| 1003365800 | Family First | Family Medicine | 5220 Hood Road, Suite 100, Palm Beach Gardens, FL 33418-8910 | 2016-09-22 |
| 1396290409 | Aquarius Physicians Group | Family Medicine | 749 Us Highway 1, Suite 210, North Palm Beach, FL 33408-4400 | 2016-08-18 |
| 1861823452 | Parthenon Behavioral Center | Family Medicine | 5101 Bowden Road, Jacksonville, FL 32216 | 2013-12-06 |
| 1457697278 | South Walton Medical Group | Family Medicine | 10065 Us Highway 98 W Ste B101, Miramar Beach, FL 32550-1902 | 2012-12-26 |
| 1851682066 | Jn Medical LLC | Family Medicine | 2625 West Way, Singer Island, FL 33404-3833 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on MR. RAFAEL HERNANDEZ JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.